John A. McCurdy's Cosmetic surgery of the Asian face PDF

By John A. McCurdy

ISBN-10: 1588902188

ISBN-13: 9781588902184

ISBN-10: 313747602X

ISBN-13: 9783137476023

Two full-length, narrated DVDs with step by step demonstrations

The call for for plastic surgery between Asians has grown dramatically. while, the aesthetics of this surgical procedure have advanced in addition - from past, extra radical systems to 'westernize' the face to a comparatively conservative strategy that improves facial stability and concord whereas conserving ethnic integrity.

This lavishly illustrated booklet offers state of the art surgical strategies for the Asian face. It covers a plethora of systems, together with suture-based, partial-incision, full-incision and revision double eyelid production with a number of epicanthoplasty options; alloplast and autogenous augmentation rhinoplasty; malar and mandibular relief; dimple fabrication; and extra. The authors are hugely skilled practitioners who supply insights into the cultural and mental components which could support Western surgeons larger comprehend the Asian patient.

Plus, the publication contains full-length, narrated DVDs with step by step demonstrations of double eyelid production, nasal implant choice, augmentation rhinoplasty, alar-base aid, and facial rejuvenative procedures.

For all plastic and beauty surgeons operating with Asian sufferers, this publication is either a vital reference and a pragmatic advisor protecting the entire most up-to-date approaches no longer formerly on hand from one source.

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Example text

Caution, however, must be exercised in recommending transconjunctival blepharoplasty. Most Asian patients, regardless of age, are convinced that “too much skin” is a component of their problem, and thus are prone to dissatisfaction if the surgical result does not quite meet their expectations, blaming their unhappiness on the fact that skin was not removed. A further disadvantage of the transconjunctival approach is that treatment of orbicularis hypertrophy is not possible. For these reasons, transconjunctival blepharoplasty is best preserved for the very young patient with absolutely no skin redundancy and minimal orbicularis hypertrophy, or for men whose only concern is “bags” resulting from fat protrusion.

Unfortunately, even if preoperative evaluation indicates that such a procedure is technically feasible, the actual results are often disappointing. In contrast, enlarging the eyelid is a relatively straightforward procedure. In many cases the existing incision can be used, higher fixation being possible following undermining and advancement of the pretarsal skin. If necessary, however, a new incision can be made above the original scar to enable fixation at a more superior level. If this is necessary, pretarsal skin must be undermined to a level just inferior to the original incision.

In many cases, one or two additional medial fixation sutures are placed following undermining of the pretarsal skin in this area to modify the epicanthal fold. Such medial advancement of the epicanthal fold by undermining and fixation sutures satisfies the desire of most contemporary patients with respect to epicanthoplasty. On occasion, however, more advanced techniques of epicanthal effacement described in a later section are used. Chapter_2_p08-41 3/29/05 11:35 AM Page 17 2 Asian Blepharoplasty 17 A A B Figure 2–18 (A) Three (lateral, middle, and medial) fixation sutures have been placed.

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Cosmetic surgery of the Asian face by John A. McCurdy

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